Medicare-Medicaid Alignment Initiative

Medicare-Medicaid Alignment Initiative

MAC Care Coordination Sub-Committee

February 5, 2013

Meridian Health Plan

Physician Directed, Member Centered, Quality Driven

Our Mission: To continuously improve the quality of care in a low resource environment

We are:

? Physician owned and directed ? Committed to quality, innovation, and member and provider satisfaction

Our Vision:

? To be the #1 health organization based on quality, innovative technology, and service to our members

? To be the premier service organization in health care

Meridian has been recognized multiple times by NCQA as a Top 20 Medicaid Health Plan.

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Meridian - Where We Are

Michigan

Illinois

Iowa

New Hampshire

? Meridian Health Plan has been in operation since 1997 ? Membership of over 300,000 ? Operating in Illinois since 2008 currently serving over 9,000 members ? Network of over 5,000 PCPs, 17,000 specialists, and 185 hospitals nationally ? Summer of 2013: IL Seniors and Persons with Disabilities in Peoria & East St. Louis ? Fall 2013: IL Medicare Medicaid Alignment Initiative in Greater Chicago Region

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Meridian Honors and Awards

? Recognized multiple times by NCQA as a Top 20 Medicaid Health Plan

? Holds Full Health Plan Accreditation in Health Utilization Management from URAC

? Honored with the CIO 100 Award from the editors of CIO Magazine in 2007, 2008, 2010 and 2012

? Top Medicaid Health Plan in Michigan & Illinois, based on quality scores

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Medicare Medicaid Alignment Initiative

Counties:

Greater Chicago & Central IL (21 Counties)*

Eligible Members:

Dual Eligibles

Beneficiaries Affected:

~150,000 members

First Enrollment:

October 2013 (Voluntary) January 2014 (Passive)

Enrollment Process:

Mandatory (Passive) Members can opt out

Benefits:

- All Medicare Benefits - All Medicaid Benefits - Prescription Drugs - Behavioral - Long Term Care - Long Term Support Services

Other Info:

- Coordination Contract with State of Illinois/HFS (FAD)

* Meridian was awarded a contract for the Greater Chicago Region

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